Gibson, Peter Edward Bolin

Gibson, Peter Edward Bolin is an individual health care provider with primary practice located at 4101 S 4Th St , Leavenworth KS 66048-5014. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gibson, Peter Edward Bolin can be contacted via phone (913) 682-2000.

Contact Information

Primary practice address
4101 S 4Th St Leavenworth KS 66048-5014
Phone: (913) 682-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 03495 Kansas

Profile Details

NPI number 1912525411
LBN Legal business name Gibson, Peter Edward Bolin
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2020
Last updated Oct 28th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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